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the Menopause Society recommends weight loss as an effective nonhormonal treatment for those symptoms

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And it approved the first oral semaglutide, Rybelsus, in 2019also a Novo Nordisk product

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doi: 10.1007/128_2012_339 Summary Keywords gut microbiota, gutliverhypothalamus axis, hepatotoxicity, mycotoxins, natural products, oxidative stress, probiotics Citation Ennab W, Tharwat M, Mousa AA, Liu H-Y, Al-Rabadi GJ, Baiome BA, Alshanbari FA and Cai D (2026) Gutliverhypothalamus axis dysfunction in mycotoxin toxicity: mechanisms and protective roles of natural compounds

Beyond the studies from my own personal journey as a bariatric surgeon whos had weight loss surgery, Ive learned that while Ozempic can provide some initial help, the gastric sleeve has the potential for deeper, lasting change